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Idaho rates for HCPCS J1645

Injection, dalteparin sodium, per 2500 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $15.49 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $17.78 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $18.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.79 / $18.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $18.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $20.89